Organization Active NPI

Preferred Petcare, Inc.

  • Veterinarian
  • Los Angeles, CA
National Provider Identifier
1053680074
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
Legal business name
PREFERRED PETCARE, INC.
Practice address
1736 So. Sepulveda Blvd.,
Suite D
Los Angeles, CA 90025
Phone
(310) 478-0248
Fax
(310) 473-0650
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nury J. Gomez
Title
Vice President and C.O.O.
Phone
(310) 478-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X CA Primary

Addresses

Primary practice location

1736 So. Sepulveda Blvd.,
Suite D
Los Angeles, CA 90025

Mailing address

1736 So. Sepulveda Blvd.
Suite D
Los Angeles, CA 90245
Phone (310) 478-0248

National Provider Directory

National Provider Directory

Locations

1736 S Sepulveda Blvd
Ste D
Los Angeles, CA 90025
Phone (310) 478-0248

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1053680074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 SO. SEPULVEDA BLVD.",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "310-478-0248",
            "fax_number": "310-473-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 SO. SEPULVEDA BLVD.,",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-478-0248",
            "fax_number": "310-473-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PETCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NURY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND C.O.O.",
        "authorized_official_telephone_number": "310-478-0248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.